Approval for services and supports must:
Be based on an assessed need determined during the person-centered service
(b) Support the
desires and goals of the consumer receiving services and supports.
(2) Total expenses for transition
services and supports covered under this rule may be approved from the date of
authorization up to 30 days after a consumer discharges from their current
community-based care facility or acute care hospital on a permanent basis and
may include more than one item.
Allowable expenses are those necessary to enable a person to establish a basic
household and to meet their assessed needs.
(4) Total purchases for basic household goods
and furnishings are limited to one time per year and must occur within the
first 30 days a consumer discharges from their current community-based care
facility or an acute care hospital to a permanent in-home setting.
(5) Total purchases for transition services
and supports, other than basic household goods and furnishings, are limited to
no more than twice annually. To access transition services and supports more
often, Central Office may approve exceptions to this rule.
(6) Funds must not be used to retroactively
reimburse a consumer, natural supports, or community-based care providers for
transition service expenses.
Unless indicated in this rule, allowable transition services are limited and
(a) Housing application
(b) Payment for background
and credit checks related to housing.
(c) Cleaning deposits.
(d) Security deposits.
(e) Initial deposits for heating, lighting,
and phone service.
(f) Payment of
previous utility bills that prevent a consumer from receiving utility
Purchase of Basic
Household Goods may
include, but are not limited to:
(iii) Garbage cans.
(iv) Trash bags.
(v) Toilet paper.
(viii) Basic cleaning supplies.
(B) The purchase of basic
household goods is not intended to replace useable items already available to
household goods are limited to:
(i) The amount
necessary to adequately meet the needs of the consumer, but may not exceed
(ii) The Department may
approve additional household goods if the consumer's functional needs
assessment indicates the need for additional household goods beyond the
Purchase of Basic household furnishings.
Basic household furnishings may
including, but are not limited to:
(vi) Chairs required in an in-home service
purchase of basic household furnishing is not intended to replace useable items
already available to the consumer.
Purchases are limited to:
(i) The amount necessary to adequately meet
the needs of the consumer and may not exceed $1,000.
(ii) The Department may approve additional
household furnishings if the consumer's functional needs assessment indicates
the need for additional household furnishings beyond the standard
Movers and moving expenses may be authorized if required to transition a
consumer from a community-based care or acute care hospital to an in-home
setting. Local offices may approve moving costs up to $1,000 per move. Any
expenditures above that amount may be approved by the Central Office.
(j) Extra locks, for security purposes, or
duplicate keys needed to assist the consumer in their in-home service
Community Long Term
Care Nursing services where a contract RN delegates or teaches the consumer,
caregivers, or natural supports to:
Provide personal care assistance to the individual;
(B) Provide ongoing medical treatment;
The following services and expenses must
be pre-authorized by the Department's Central Office:
(a) Purchases that exceed the monetary limits
described in this rule.
Approval for expenses that occur greater than 30 days after the transition
(c) Items required to
establish a home not identified in this rule.
(d) Other necessities not identified in this
rule that are required for a consumer to transition from a community-based care